Form It 941 - Ohio Employer'S Annual Reconciliation Of Income Tax Withheld Page 2

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If possible, please print (duplex) this page as the reverse side of the Ohio form IT 941. If
you are unable to duplex this page, please keep this second page for your records and
only mail in the front side of the Ohio form IT 941. Do not mail this page in separately.
Reverse side of Ohio form IT 941
Month
Ohio Gross Payroll
Ohio Tax Withheld–Line 1
January
February
March
April
May
June
July
August
September
October
November
December
Annual Total

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